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HealthGorilla Integration Changelog

This page tracks updates, improvements, and changes to the HealthGorilla integration in Medplum.

[October 2025]​

  • Atomic ServiceRequest Updates: Switched to batched PATCH operations to sync HealthGorilla order identifiers, preventing race conditions.
  • Syncing Order Identifiers: send-to-health-gorilla syncs all identifiers from Health Gorilla RequestGroups, including the lab accession id

[September 2025]​

  • Enhanced Practitioner Name Matching: Improved logic to ignore middle names and handle name variations more flexibly.
  • Delayed DetectedIssue Creation: Separated DetectedIssue creation from main bundle processing to prevent race conditions in downstream workflows.

[Aug 2025]​

  • Preserve ServiceRequest Identifiers: Switched from PUT to PATCH for ServiceRequest sync to prevent asynchronously-set identifiers from being overwritten.
  • Smarter Patient Matching for Lab Reports: DiagnosticReport resolution now handles multiplie Patients with the same Health Gorilla ID. Prioritizes active patients and follows Patient.link for inactive patients to reduce duplicates.
  • Enhanced Order Matching: On receiving lab reports, the integration now finds existing orders by Health Gorilla ID, Accession ID, Placer ID, or Filler ID to link to the correct patient.

[June 2025]​

  1. Added securityContext to Binary resources. Resources containing content are written before Binary resources are attached.
  2. Improved search for existing Organizations.
  3. Refactor of HG Bot deployment script.

[March 2025]​

  1. Generate unique Health Gorilla usernames for shared practitioners across projects.
  2. Performance improvement to fetching resources from Health Gorilla.
  3. Added option to create Patient resource if they cannot be found when syncing resources.

[January 2025]​

  1. Initial version of order splitting bot to separate tests in the same ServiceRequest into multiple orders (perhaps to be sent to different labs).
  2. Allow sending orders in on-hold status.
  3. Additional logging and error handling.

[November 2024]​

  1. Improved handling of dependent insurance and payor org names.
  2. Improved logging and UX through date and display fields.
  3. Improved referential integrity in RequestGroup resources synced.

[September 2024]​

  1. Created Detected Issues for unsolicited reports with unknown patients.
  2. Improved resource sync and subscription logic.
  3. Practitioner sync supports multiple names and new order of operations.